Series 7950/9500 Bi-Fold Model Home Discount Form

builder submission info


enter the builder name.
builder name

please enter the date.
date

enter a phone number.
builder contact phone

enter a contact name.
builder contact name / person requesting rebate

enter a valid email address.
builder contact email

enter the mailing address.
builder mailing address

enter the mailing address city.
city

*
state

enter a valid zip code.
zip code

model home info


enter the subdivision name.
model home subdivision name

enter the contact person's name.
model home office contact name

enter the model home office phone number.
model home office contact phone

enter a valid email address.
model home office contact email

enter the model home office mailing address.
model home office mailing address

enter the home office city.
city

*
state

enter a valid zip code.
zip code

rebate details


enter the dealer name.
dealer name

enter the Western order number.
western order number - dealer provided

select if doors are standard or optional in floorplan

select if doors are standard or optional
lot number

enter the lot numbers.
number of models

Invalid Input
rebate ea.

Invalid Input
qty.

Invalid Input
total rebate

Invalid Input
lot number
door type
rebate ea.
qty.
total rebate
lot number
door type
rebate ea.
qty.
total rebate
lot number
door type
rebate ea.
qty.
total rebate
lot number
door type
rebate ea.
qty.
total rebate
lot number
door type
rebate ea.
qty.
total rebate
lot number
door type
rebate ea.
qty.
total rebate
rebate grand total


Please be advised of the time limit for submittal of model rebate forms. You must submit your forms directly to western using only the approved rebate form available on the volume program website within 120 days of invoice date to the participating dealer. Submittals after 120 days will not be processed.